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Pérez-Trigo S, López-Ladrón-García-Borbolla RM, Mencía-Gutiérrez E, Garrido-Ruíz M, Bengoa-González Á. Eyelid Eccrine Poroma: A Case Report and Literature Review. Cureus 2024; 16:e60316. [PMID: 38751403 PMCID: PMC11094528 DOI: 10.7759/cureus.60316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2024] [Indexed: 05/18/2024] Open
Abstract
Eccrine poroma is a rare benign adnexal tumor arising from intradermal cells of eccrine sweat ducts. At least two-thirds of eccrine poromas present on the extremities, most commonly on the palms and soles. They are scarcely found on the face; to date, only 11 cases of eyelid poromas have been reported in PubMed. Biopsy excision with a free margin is necessary to distinguish it from malignant lesions and avoid recurrence with possible transformation to porocarcinoma. We present the case of a 23-year-old male with a histopathological confirmation of poroma using staining with hematoxylin-eosin on the eyelid, previously clinically diagnosed with molluscum contagiosum. After four years, he has not experienced a recurrence.
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Affiliation(s)
- Silvia Pérez-Trigo
- Ophthalmology, 12 de Octubre Hospital, Complutense University, Madrid, ESP
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2
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Brooks A, Morris M, Cuda J, Rahimpour A, Munie S. Poroid Hidradenoma: Case Report and Comprehensive Review of the Literature. Case Rep Dermatol 2023; 15:202-216. [PMID: 37928337 PMCID: PMC10620550 DOI: 10.1159/000531052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 04/11/2023] [Indexed: 11/07/2023] Open
Abstract
Poroid hidradenoma (PH) is a rare benign adnexal tumor of eccrine differentiation. It is the rarest of the four described variants of poroid neoplasms. PHs characteristically share a hybrid of the architectural features of the hidradenoma, namely, tumor cells are entirely intradermal with both solid and cystic components, and the cytologic characteristics of the poroid neoplasms, containing predominantly poroid and cuticular cells. Many published reports of PH since its original discovery in 1990 state that "very few" cases of PH can be found in the literature. Here, we have identified a total of 75 published accounts of PH, including the case presented here, as well as the associated patient demographics, lesion characteristics, treatment, and outcomes. We suggest that while uncommon, PH is likely not exceptionally rare and could be an underreported diagnosis.
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Affiliation(s)
- Arrin Brooks
- Joan C Edwards School of Medicine, Marshall University, Huntington, WV, USA
- Department of Surgery, West Virginia University School of Medicine, Morgantown, WV, USA
| | - Mariah Morris
- Joan C Edwards School of Medicine, Marshall University, Huntington, WV, USA
| | - Jonathan Cuda
- Department of Dermatopathology, Marshall Health, Cabell Huntington Hospital, Huntington, WV, USA
| | - Armein Rahimpour
- Department of General Surgery, Joan C Edwards School of Medicine, Huntington, WV, USA
| | - Semeret Munie
- Department of General Surgery, Joan C Edwards School of Medicine, Huntington, WV, USA
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3
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Dermal Duct Tumor: A Diagnostic Dilemma. Dermatopathology (Basel) 2022; 9:36-47. [PMID: 35225875 PMCID: PMC8883970 DOI: 10.3390/dermatopathology9010007] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 11/17/2022] Open
Abstract
Poromas or poroid tumors are a group of rare, benign cutaneous neoplasms derived from the terminal eccrine or apocrine sweat gland duct. There are four poroma variants with overlapping features: dermal duct tumor (DDT), eccrine poroma, hidroacanthoma simplex, and poroid hidradenoma, of which DDT is the least common. Clinically, the variants have a nonspecific appearance and present as solitary dome-shaped papules, plaques, or nodules. They can be indistinguishable from each other and a multitude of differential diagnoses, necessitating a better understanding of the characteristics that make the diagnosis of poroid neoplasms. However, there remains a paucity of information on these lesions, especially DDTs, given their infrequent occurrence. Herein, we review the literature on DDTs with an emphasis on epidemiology, pathogenesis, clinical features, diagnosis, and management.
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4
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Mukit M, Mitchell M, Ortanca I, Krassilnik N, Jing X. Poroid hidradenoma of the scalp in a US Veteran's Administration (VA) patient. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2021; 8:114-117. [PMID: 34377739 PMCID: PMC8330749 DOI: 10.1080/23320885.2021.1956933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Poroid hidradenomas are a rare subtype of hidradenoma. A Veteran’s Administration patient presented with a mobile, cystic scalp lesion. Intraoperatively the mass spontaneously ruptured. We hope clinicians will consider this entity on their differential when treating patients presenting with similar scalp lesions and intraoperative findings.
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Affiliation(s)
- M Mukit
- Veterans Administration Medical Center Memphis, Memphis, TN, USA.,University of Tennessee Health Science Center, Memphis, TN, USA
| | - M Mitchell
- Veterans Administration Medical Center Memphis, Memphis, TN, USA.,University of Tennessee Health Science Center, Memphis, TN, USA
| | - I Ortanca
- Veterans Administration Medical Center Memphis, Memphis, TN, USA.,University of Tennessee Health Science Center, Memphis, TN, USA
| | - N Krassilnik
- Veterans Administration Medical Center Memphis, Memphis, TN, USA.,University of Tennessee Health Science Center, Memphis, TN, USA
| | - X Jing
- Veterans Administration Medical Center Memphis, Memphis, TN, USA.,University of Tennessee Health Science Center, Memphis, TN, USA
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5
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Kalamkar C, Radke N, Mukherjee A, Radke S. Rare case of large eccrine poroma of the eyelid. Med J Armed Forces India 2021; 77:371-373. [PMID: 34305294 DOI: 10.1016/j.mjafi.2020.07.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Accepted: 07/28/2020] [Indexed: 10/23/2022] Open
Abstract
Eccrine poroma is a rare tumor arising from sweat glands with common location being soles and palms. We are reporting a case of 70-year male patient with large lower lid mass lesion. Owing to its location and history of growth, malignancy was suspected. Biopsy proved it to be eccrine poroma which is a benign lesion. Complete excision with lid reconstruction was done. Eccrine poroma, though rare, should be kept in the differential diagnosis of eyelid tumors. Owing to the risk of malignant transformation and difficulty in clinical differentiation between poroma and porocarcinoma, wide excision should be done.
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Affiliation(s)
- Charudutt Kalamkar
- Consultant (Anterior Segment), Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India
| | - Nishant Radke
- Consultant (Vireo-Retina Services), Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India
| | - Amrita Mukherjee
- Consultant (Anterior Segment), Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India
| | - Snehal Radke
- Consultant (Anterior Segment), Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India
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Wang Y, Liu M, Zheng Y, Feng Y. Eccrine poroma presented as spindle-shaped plaque: A case report. Medicine (Baltimore) 2021; 100:e25971. [PMID: 34011082 PMCID: PMC8137075 DOI: 10.1097/md.0000000000025971] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 04/28/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE Eccrine poroma, a benign cutaneous neoplasm originating from the intraepidermal portion of the eccrine sweat duct, is relatively common in clinical practice. Nevertheless, the 1 presenting as spindle-shaped plaque is extremely rare and easily misdiagnosed as seborrheic keratosis or other dermatoses. Thus, the current study demonstrates a case of eccrine poroma with unique clinical manifestation. PATIENTS CONCERNS A 47-year-old man presented with a spindle-shaped plaque on his left sole for 6 years. DIAGNOSES Based on the clinical and histopathological manifestations, diagnosis of eccrine poroma was established. INTERVENTIONS Surgical excision under local anesthesia was performed. OUTCOMES No recurrence or malignant transformation occurred within 6-month follow-up. LESSONS Eccrine poroma typically presents as a dome-shaped nodule on palm or sole. But this case reminded us the lesion presenting as a spindle-shaped plaque on sole can not rule out the possibility of eccrine poroma.
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Mencía-Gutiérrez E, Navarro-Perea C, Gutiérrez-Díaz E, Cámara-Jurado M, Bengoa-González Á. Eyelid Eccrine Poroma: A Case Report and Review of Literature. Cureus 2020; 12:e8906. [PMID: 32742872 PMCID: PMC7389938 DOI: 10.7759/cureus.8906] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Poroma is a rare benign tumor of the epidermal sweat duct unit with predilection for the head and neck. Only six cases with eyelid location have been described in the literature (PubMed). A 34-year-old male presented with a single tumor on the left upper eyelid. It was skin-colored, nodular, solid, tender with some telangiectatic vessels, and showed no ulcerated lesion. Clinical diagnosis was basal cell carcinoma. This type of lesion can mimic a malignancy. Complete excisional biopsy revealed features consistent with eccrine poroma. After three year of follow up, no recurrence was observed. The authors reviewed all the cases reported in the literature and made a summary comparing them.
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Bouhamed M, Bacha D, Abdelmoula F, Slama SB, Lahmar A, Bouraoui S, Sabeh MR. Clonal seborrheic keratosis: a rare skin tumor. Pan Afr Med J 2019; 34:54. [PMID: 31762920 PMCID: PMC6859035 DOI: 10.11604/pamj.2019.34.54.13415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 07/31/2019] [Indexed: 01/15/2023] Open
Abstract
Seborrheic keratosis is a benign epidermal neoplasm, representing one of the most common skin tumors. Clonal seborrheic keratosis is one of the histological subtypes of this entity. It is an uncommon lesion which may resemble other benign or malignant lesion. We report a case of a 60-year-old woman presented with a 7 year history of a gradually growing, cutaneous lesion on her left arm. On physical examination, the lesion was elevated, well-circumscribed, measuring 5 cm in maximum diameter. The tumor was biopsied. Histopathological examination revealed the presence of well-defined nests of clear-looking or basaloid keratinocytes within an acanthotic epidermis, corresponding to the Borst-Jadassohn phenomenon. The tumor cells were small and monomorphic. We diagnosed this tumor as clonal seborrheic keratosis. Although surgical excision was recommended, our patient refused an operation. This case of clonal seborrheic keratosis is presented for its rarity and for differential diagnosis.
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Affiliation(s)
- Marwa Bouhamed
- Department of Pathology, Mongi Slim University Hospital, Tunis, Tunisia
| | - Dhouha Bacha
- Department of Pathology, Mongi Slim University Hospital, Tunis, Tunisia
| | | | - Sana Ben Slama
- Department of Pathology, Mongi Slim University Hospital, Tunis, Tunisia
| | - Ahlem Lahmar
- Department of Pathology, Mongi Slim University Hospital, Tunis, Tunisia
| | - Saadia Bouraoui
- Department of Pathology, Mongi Slim University Hospital, Tunis, Tunisia
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Miller R, Ieremia E, Birch J, Chan J. Poroid hidradenoma in the hand: A case report and systematic review. J Cutan Pathol 2018; 45:696-700. [PMID: 29781229 DOI: 10.1111/cup.13282] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 05/03/2018] [Accepted: 05/16/2018] [Indexed: 02/04/2023]
Abstract
Poroid hidradenoma (PH) is a rare benign neoplasm of the skin appendages. There are currently no guidelines for its management, and little information available regarding the natural history, treatment options, or outcomes. Systematic literature review identified 19 cases of isolated PH. Mean age at presentation was 54 years. Male to female ratio was 3:1, and the majority of cases were in the head and neck region. One-third of lesions were painful or tender. Sizes varied from 0.11 × 0.9 × 0.2 cm (digit) to 6 cm (presternal region). Twelve cases were treated by surgical excision, while the remainder were biopsy specimens. Follow-up was reported in five cases, with a median follow-up of 1 year. No cases of local invasion or spread have been reported, although there was one case of possible recurrence identified 8 years after surgical excision. The presented case is the first to identify a PH on the hand, represents the smallest lesion to date, and was successfully treated by excision. We suggest that PHs be treated by excision and followed up for 6 to 12 months. Given one case of potential (but unconfirmed) recurrence, and no report of malignant transformation, we suggest that narrow margins may be appropriate.
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Affiliation(s)
- Robert Miller
- Plastic Surgery Department, John Radcliffe Hospital, Oxford, UK
| | - Eleni Ieremia
- Cellular Pathology Department, John Radcliffe Hospital, Oxford, UK
| | - Jeremy Birch
- Plastic Surgery Department, John Radcliffe Hospital, Oxford, UK
| | - James Chan
- Plastic Surgery Department, John Radcliffe Hospital, Oxford, UK
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A Large Lumbar Adnexal Neoplasm Presenting Characteristics of Eccrine Poroma and Poroid Hidradenoma. Case Rep Surg 2017; 2017:9865672. [PMID: 29057137 PMCID: PMC5625745 DOI: 10.1155/2017/9865672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Accepted: 08/15/2017] [Indexed: 11/28/2022] Open
Abstract
Poroma is a rare benign neoplasm that derives from eccrine sweat glands epithelium. Its histological subtypes, with respect to its position within skin layers, are eccrine poroma, hidroacanthoma simplex, poroid hidradenoma, and dermal duct tumor. Poromas commonly exhibit benign clinical behavior as they are usually small and asymptomatic and do not exhibit malignant behavior. Although their histological subtypes share similar histological characteristics, they rarely coexist in the same tumor. In this report we present the case of an unusual poroma in terms of histological and clinical behavior as it was large and presented histological characteristic of both eccrine poroma and poroid hidradenoma. Coexistence of different histologic subtypes in the same tumor indicates simultaneous tumorigenesis, differentiation from one cell type to another, or parallel differentiation from a common progenitor cell. Implications in treatment remain unknown partly due to the rarity of such cases.
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11
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Jayasekera PSA, Charlton F, Oliphant TJ. An Unusual Periungual Lesion. Skin Appendage Disord 2017; 3:129-131. [PMID: 28879189 DOI: 10.1159/000462982] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 02/10/2017] [Indexed: 12/13/2022] Open
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12
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Ansai SI. Topics in histopathology of sweat gland and sebaceous neoplasms. J Dermatol 2017; 44:315-326. [PMID: 28256768 DOI: 10.1111/1346-8138.13555] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Accepted: 07/13/2016] [Indexed: 12/14/2022]
Abstract
This article reviews several topics regarding sweat gland and sebaceous neoplasms. First, the clinicopathological characteristics of poroid neoplasms are summarized. It was recently reported that one-fourth of poroid neoplasms are composite tumors and one-fourth are apocrine type lesions. Recent progress in the immunohistochemical diagnosis of sweat gland neoplasms is also reviewed. CD117 can help to distinguish sweat gland or sebaceous tumors from other non-Merkel cell epithelial tumors of the skin. For immunohistochemical differential diagnosis between sweat gland carcinoma (SGC) other than primary cutanesous apocrine carcinoma and skin metastasis of breast carcinoma (SMBC), a panel of antibodies may be useful, including p63 (SGC+ , SMBC- ), CK5/6 (SGC+ , SMBC- ), podoplanin (SGC+ , SMBC- ) and mammaglobin (SGC- , SMBC+ ). Comparison of antibodies used for immunohistochemical diagnosis of sebaceous carcinoma (SC) suggests that adipophilin has the highest sensitivity and specificity. Some authors have found that immunostaining for survivin, androgen receptor and ZEB2/SIP1 has prognostic value for ocular SC, but not extraocular SC. In situ SC is rare, especially extraocular SC, but there have been several recent reports that actinic keratosis and Bowen's disease are the source of invasive SC. Finally, based on recent reports, classification of sebaceous neoplasms into three categories is proposed, which are sebaceoma (a benign neoplasm with well-defined architecture and no atypia), borderline sebaceous neoplasm (low-grade SC; an intermediate tumor with well-defined architecture and nuclear atypia) and SC (a malignant tumor with invasive growth and evident nuclear atypia).
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Affiliation(s)
- Shin-Ichi Ansai
- Division of Dermatology and Dermatopathology, Nippon Medical School Musashi Kosugi Hospital, Kawasaki City, Japan
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Ito K, Ansai SI, Fukumoto T, Anan T, Kimura T. Clinicopathological analysis of 384 cases of poroid neoplasms including 98 cases of apocrine type cases. J Dermatol 2016; 44:327-334. [DOI: 10.1111/1346-8138.13421] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 03/14/2016] [Indexed: 12/26/2022]
Affiliation(s)
- Keigo Ito
- Department of Dermatology; The Jikei University School of Medicine; Tokyo Japan
| | - Shin-ichi Ansai
- Division of Dermatology; Nippon Medical School Musashi Kosugi Hospital; Kanagawa Japan
| | | | - Takashi Anan
- Sapporo Institute for Dermatopathology; Hokkaido Japan
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14
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Abstract
Clear cell proliferations of the skin consist of a diverse group of lesions characterized by the presence of cells with abundant clear cytoplasm. They may arise from primary, metastatic, or non-neoplastic origins, with their distinctive cytoplasmic clearing attributable to causes ranging from artifact to accumulation of materials such as glycogen, mucin, or lipids. Despite the heterogeneity of these lesions, their distinguishing characteristics may be subtle, especially at high power. As such, histologic diagnosis can be challenging, and proper consideration relies on an understanding of the scope of possible origins, etiologies, and key immunohistochemical staining patterns of the various entities. This review categorizes cutaneous clear cell neoplasms by histogenesis, and offers differential diagnostic strategies to aid in their clinicopathologic evaluation.
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Mantri MD, Dandale A, Dhurat RS, Ghate S. Pedunculated poroma on forearm: A rare clinical presentation. Indian Dermatol Online J 2014; 5:469-71. [PMID: 25396131 PMCID: PMC4228643 DOI: 10.4103/2229-5178.142501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Eccrine poroma (EP) is an adnexal tumor that commonly occurs on soles as a soft sessile flesh colored nodule. We report here a case of 54-year-old man who presented with a pedunculated red colored nodule on the right forearm. Histopathological examination was consistent with EP. This presentation of EP on the forearm as a pedunculated nodule is rare.
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Affiliation(s)
- Meeta D Mantri
- Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
| | - Ameet Dandale
- Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
| | - Rachita S Dhurat
- Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
| | - Smita Ghate
- Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
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16
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Deckelbaum S, Touloei K, Shitabata PK, Sire DJ, Horowitz D. Eccrine poromatosis: case report and review of the literature. Int J Dermatol 2013; 53:543-8. [PMID: 23968240 DOI: 10.1111/j.1365-4632.2012.05831.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Eccrine poroma (EP) is a benign tumor of the eccrine duct. Multiple EPs are defined as eccrine poromatosis (EPS), an uncommon phenomenon. To date there are only eight reported cases of EPS. This review exemplifies the epidemiology, pathogenesis, differential diagnosis, and histology of EP, while reviewing the eight cases of EPS. Six of the eight cases of EPS had a history of immunosuppression from either radiation or chemotherapy. This paper will also emphasize the importance of excision to avoid possible malignancy. Here we present a 73-year-old gentleman with EPS who was also treated with radiation and chemotherapy prior to the onset of the lesions.
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Betti R, Bombonato C, Cerri A, Moneghini L, Menni S. Unusual sites for poromas are not very unusual: a survey of 101 cases. Clin Exp Dermatol 2013; 39:119-22. [PMID: 23773222 DOI: 10.1111/ced.12185] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2013] [Indexed: 12/25/2022]
Abstract
BACKGROUND Poromas are benign adnexal tumours generally believed to be of eccrine origin, which usually develop on palmoplantar sites. However, it is thought that a percentage of poromas develop on non-palmoplantar or 'unusual' sites. AIM To review cases of poromas with reference to their clinicoepidemiological characteristics, paying particular attention to the those located on sites other than the palms and soles. METHODS All histologically confirmed poromas seen at our department between 1994 to 2012 were reviewed. The clinicoepidemiological data recorded included age at diagnosis, gender, location, size, colour, and preoperative and pathological diagnoses. RESULTS In total, 101 poromas were reviewed, corresponding to 0.0058% of all the epithelial skin tumours biopsied in our department. The mean age was 65.05 years (range 30-100 years), and the male to female ratio was 1.52. All the lesions were solitary and asymptomatic, with no sign of bleeding. The most common presentation was a red or reddish lesion, particularly at palmoplantar sites, where 33 (32.7%) of the 101 poromas were located, Poromas found at other affected sites were more usually skin-coloured, and these lesions included 7 neoplasms located in the armpits and 18 on the head and neck. The correct preoperative diagnosis was made in 12 cases of 33 detected poromas (36%), all of which were localized to the palmoplantar surfaces. CONCLUSIONS Based on our experience, we consider that there are no 'unusual' sites for poromas, and palmoplantar poromas were in fact in the minority. Furthermore, some localizations suggest derivation of these palmoplantar poromas from the folliculosebaceous apocrine unit.
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Affiliation(s)
- R Betti
- Dermatologic Clinic, Department of Health Sciences, Università degli Studi di Milano, AO San Paolo, Milan, Italy
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18
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Ou CL, Cheng CJ, Wang KH. Porocarcinoma in situ showing follicular differentiation: A case report. DERMATOL SIN 2012. [DOI: 10.1016/j.dsi.2011.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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19
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Abzug JM, Cappel MA. Benign acquired superficial skin lesions of the hand. J Hand Surg Am 2012; 37:378-93; quiz 393. [PMID: 22281172 DOI: 10.1016/j.jhsa.2011.11.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2011] [Accepted: 11/15/2011] [Indexed: 02/02/2023]
Abstract
Numerous dermatologic conditions may be visualized by the hand surgeon during office hours, including when examining patients for an alternative chief problem. Although the primary focus of the visit may be unrelated to a skin lesion, it is important for the hand surgeon to be familiar with these lesions to address patient inquiries and determine which lesions may require some form of treatment. This article reviews some of the most common benign acquired superficial skin lesions of the hand. Particular attention will be paid to epidermal lesions, pigmented lesions, vascular lesions, dermal fibrous/fibrohistiocytic lesions, and infections that can be confused with skin neoplasms or tumor-like conditions. Diagnostic clues, including photographs, will be provided for each lesion described, as well as the recommended treatment.
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Affiliation(s)
- Joshua M Abzug
- Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
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20
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Abstract
Poroid neoplasm is a benign sweat gland neoplasm that accounts for 10% of sudoriferous tumors. Poroid hidradenoma is an uncommon variant that usually affects adults, with a peak of incidence in the seventh decade. It is rare in children. We report the first case of poroid hidradenoma presenting in a 13-year-old boy.
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Affiliation(s)
- Verónica López
- Department of Dermatology, Hospital Clínico Universitario de Valencia, Valencia, Spain.
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21
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From Hidroacanthoma Simplex to Poroid Hidradenoma: Clinicopathologic and Immunohistochemic Study of Poroid Neoplasms and Reappraisal of Their Histogenesis. Am J Dermatopathol 2010; 32:459-68. [DOI: 10.1097/dad.0b013e3181bc91ff] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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23
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Chiu HH, Lan CCE, Wu CS, Chen GS, Tsai KB, Chen PH. A single lesion showing features of pigmented eccrine poroma and poroid hidradenoma. J Cutan Pathol 2008; 35:861-5. [PMID: 18422687 DOI: 10.1111/j.1600-0560.2007.00909.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Poroid hidradenoma (PH) is a variant of poroma. This entity was defined by Abenoza and Ackerman in 1990. This neoplasm shows architectural characteristics of hidradenoma (tumor cells confined entirely within the dermis in both solid and cystic components) and cytologic characteristics of poroid neoplasm (poroid and cuticular cells, the latter showing ductal differentiation). We herein document a case of single poroid lesion with the features of both eccrine poroma and PH. The patient was a 55-year-old woman with a pigmented nodular lesion on her upper back for 7 years. The histopathologic features of the lesion were consistent with those of eccrine poroma and PH. Unlike most eccrine poromas, this case was pigmented, clinically and microscopically.
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Affiliation(s)
- Hsiu-Hui Chiu
- Department of Dermatology, Kaohsiung Medical University Hospital, Taiwan
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24
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Abstract
A 71-year-old white woman sought treatment for poroma of the right lower eyelid. Excisional biopsy was performed, and the specimen had histologic features consistent with poroma. One year after excision, there has been no recurrence of the lesion. Clinicians should be aware that poroma can occur in regions other than the hands and feet.
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Wang SH, Tsai TF. Congenital polypoid pigmented eccrine poroma of a young woman. J Eur Acad Dermatol Venereol 2008; 22:366-8. [DOI: 10.1111/j.1468-3083.2007.02317.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sebaceous Differentiation in Poroid Neoplasms: Report of 11 Cases, Including a Case of Metaplastic Carcinoma Associated With Apocrine Poroma (Sarcomatoid Apocrine Porocarcinoma). Am J Dermatopathol 2008; 30:21-6. [DOI: 10.1097/dad.0b013e31815f2ae3] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Allende I, Gardeazabal J, Acebo E, Díaz-Pérez J. Pigmented Eccrine Poroma. ACTAS DERMO-SIFILIOGRAFICAS 2008. [DOI: 10.1016/s1578-2190(08)70302-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Liu HN, Chang YT, Chen CC, Huang CH. Histopathological and immunohistochemical studies of poroid hidradenoma. Arch Dermatol Res 2005; 297:319-23. [PMID: 16283345 DOI: 10.1007/s00403-005-0606-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2005] [Accepted: 09/06/2005] [Indexed: 11/29/2022]
Abstract
Poroid hidradenoma (PH), a less common subtype of poroid neoplasm (PN) than eccrine poroma (EP), has not been immunohistochemically studied before. Six cases of PH (four solitary PH and two PH coexisted with other types of PN) were included in the study. Fifteen cases of EP were also included for comparison. Hematoxylin and eosin, Masson-Zimmerman silver stain, and a variety of immunohistochemical stains were used. Microscopically, PH is not connected to the epidermis. All six PH contained small poroid cells and larger, paler cuticular cells. Some PH showed separate or clusters of sebocytes (2/6), horn cysts (1/6), juxtaposed lymphoid follicles in the stroma (1/6) and foci of keratohyaline granules (2/6), none of which was seen in the 15 EP. Immunohistochemically, the keratin distribution of PH was very similar to that of EP. PH has a very small number of Langerhans cells (significantly lower than the overlying epidermis, P=0.045), and a sparse deposition of melanin. We conclude that except the location, the histopathological and immunochemical differences between PH and EP were small. Sebaceous differentiation in two PH lesions suggested the possibility of an apocrine origin. The deeper parts of eccrine apparatus other than basaloid cells may have been more actively involved in the histogenesis of PH.
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Affiliation(s)
- Han-Nan Liu
- Department of Dermatology, Taipei Veterans General Hospital and National Yang-Ming University, 201, Section 2, Shih-Pai Road, 112 Taipei, Taiwan.
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